Individual provider Active NPI

Aurea Vazquez Santiago, SOCIAL WORK

  • Social Worker
  • Ponce, PR
National Provider Identifier
1447453675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4680 Issued in PR
Practice address
Centro Detoxificacion Assmca
Ave.Tito Castro Carr.14
Ponce, PR 00732
Phone
(787) 840-6935
Fax
(787) 840-6935
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4680 PR Primary

Addresses

Primary practice location

Centro Detoxificacion Assmca
Ave.Tito Castro Carr.14
Ponce, PR 00732

Mailing address

2909 Calle Amazonas
Ponce, PR 00728-1735
Phone (787) 848-6728

Other identifiers 1

IdentifierTypeStateIssuer
4680OtherPRSOCIAL WORK LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4680PRMDLegal Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447453675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 CALLE AMAZONAS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007281735",
            "telephone_number": "787-848-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO DETOXIFICACION ASSMCA",
            "address_2": "AVE.TITO CASTRO CARR.14",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-840-6935",
            "fax_number": "787-840-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ SANTIAGO",
        "first_name": "AUREA",
        "name_prefix": "Mrs.",
        "credential": "SOCIAL WORK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "4680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENCE",
            "identifier": "4680",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.